| NPI | 1265617625 |
|---|---|
| Former Legal Business Name | DOC HOLIDAY DENTAL PARTNERS LLC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW CARLSTON Dentist 303-750-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO co8797) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO co8479) |
| 1223G0001X Dentist, General Practice (Licence: CO co8987) | |
| 1223G0001X Dentist, General Practice (Licence: CO co9043) | |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |